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肾创伤的现代治疗

Contemporary management of renal trauma.

作者信息

Shoobridge Jennifer J, Corcoran Niall M, Martin Katherine A, Koukounaras Jim, Royce Peter L, Bultitude Matthew F

出版信息

Rev Urol. 2011;13(2):65-72.

PMID:21941463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3178068/
Abstract

In the management of renal trauma, surgical exploration inevitably leads to nephrectomy in all but a few specialized centers. With current management options, the majority of hemodynamically stable patients with renal injuries can be successfully managed nonoperatively. Improved radiographic techniques and the development of a validated renal injury scoring system have led to improved staging of injury severity that is relatively easy to monitor. This article reviews a multidisciplinary approach to facilitate the care of patients with renal injury.

摘要

在肾外伤的管理中,除了少数几个专业中心外,手术探查不可避免地会导致肾切除。采用目前的管理方法,大多数血流动力学稳定的肾损伤患者可以通过非手术方式成功治疗。改进的影像学技术和经过验证的肾损伤评分系统的发展,使得损伤严重程度的分期得到改善,且相对易于监测。本文综述了一种多学科方法,以促进肾损伤患者的护理。

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本文引用的文献

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EAU Guidelines on Urethral Trauma.EAU 指南:尿道创伤
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Damage control surgery for abdominal trauma.腹部创伤的损伤控制手术
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6
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7
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Improvements in early mortality and coagulopathy are sustained better in patients with blunt trauma after institution of a massive transfusion protocol in a civilian level I trauma center.在一家民用一级创伤中心实施大量输血方案后,钝性创伤患者早期死亡率和凝血病的改善情况得到了更好的维持。
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A 10-year review of blunt renal artery injuries at an urban level I trauma centre.某市一级创伤中心 10 年钝性肾动脉损伤回顾。
Injury. 2009 Aug;40(8):844-50. doi: 10.1016/j.injury.2008.11.022. Epub 2009 May 31.
10
Transfusion of blood products in trauma: an update.创伤中血液制品的输注:最新进展
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